LARYSA TARASHEVSKA WICKMAN

ANN ARBOR, MI
NPI1063603082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0210X Pediatrics, Pediatric Nephrology
(Licence: MI  4301089772)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301089772)
Enumeration Date2007-08-06
Last Update Date2020-10-20
Business Address
LARYSA TARASHEVSKA WICKMAN M.D
1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109-5318
Phone number: 734-936-4210
Mailing Address
LARYSA TARASHEVSKA WICKMAN M.D
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047